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14630 Berry Valley Rd SE O�� THFp.A,�� City o f Yelm ♦ �' � Communit Develo ment De artment y P P 105 Yelm Avenue West Yelm, WA 98597 YELM WASHINCTON April 11, 2014 Sara Brallier Thurston County Public Health Environmental Health Division 2000 Lakeridge Dr SW Olympia, WA 98502-6045 Re: Water System Priority of Service for 14630 Berry Valley Rd. SE, Yelm, WA 98597 Dear Ms. Brallier: The City of Yelm has received your request for a Determination of Priority Service for a new single family well located at the address above. For the purpose of City utility service connections, the system shall be deemed available when the premises are within 200 feet of service lines. The nearest City utility lines are more than 200 feet away from this property, connection to City utilities is not required. While the City does not object to the installation of this single family well, the application materials show a second dwelling unit. Expansion of a one or two single family residential water supply requires the water system to meet the Group A or B water system requirements. If that is the case, the Thurston County Coordinated Water System Plan limits the approval to a satellite water system approved and managed by the City of Yelm. If you have any questions, please do not hesitate to contact me. Sincerely, ..---� ,��'`�� �'��-L_._ Tami Merriman, Associate Planner Community Development Department Copy: Milton & Patrice Butler (360)458-3835 (360)458-3144 FAX www.ci.yelm.wa.us Thurstorl County Environmental Health Division ....�•�`";;' 2000 Lakeridge Dr. SW,Olympia,WA 98502 � �:� �� ,� �,,�� (360)867-2673/(360)867-2660(Fax) �� r-- TDD Line(360)867-2603 ���������j��}�; �.{a�r�����r htlp://w�v�v.co.thurston.wa.us/health/ehadm �:f yY'!.1.ri51 WATER SYSTEM PRIORITY OF SERVICE ❑ Owner/Applicant ❑Applic nt Only Date Received �/f� �f / �� Name �// /C-'i� l�) l%�_/{�/C�' �(„�� !�'/� Phone# ���%C� �������L�' i Mailing Address �����- _ �/?!�(,� �2�'Et� �j� _�� Property Address ! ��t.�0 �a�f�� ����'�/ �LY.:��� Parcel# ��f'7r� ��� ���-�(i� (attach location map) Project Description (Plat, short plat, etc) : 1v�v� �;�a1.2 ��vv��,�1 �c'�,cY�2S�� L�Q-��, Primary Source Area Utility C1� l�3� ��f?��'� t Priority I-Area Utility �,, �-u �i� ��P.�v✓1 � Yes, the applicant will be provided with terms of service Yes, via area utility satellite service �No (Go to Priority Level II) Signature of Utility Representative C� _. Date `'' f( f�' Priority II- Neighboring Utility Yes, the applicant will be provided with terms of service Yes, via neighboring utility satellite service _No (Go to Priority Level III) Signature of Utility Representative Date Priority III-Other Approved Satellite Service Company Yes _ No (Go to Priority Level IV) Signature of Utility Representative Date Priority IV-Water Supply Developed by Applicant Date Signature of Thurston County Environmental Health Representative Approval of Service Date Signature of Thurston County Environmental Health Representative To obtain a list of approved utilities, and the name of your primary area utility, contact the Thurston County Environmental Health Representative. UPDATED 12/29/09 ���Yt,�'� '��� • Nc�ti�c� ,i,< b� ��a�1;3ry� �I r� G �t+:s�;C , ��;,� �`�����;�E� :.���` ���� C��' Il��"��iT 3"�:.��7N�T€�l���' A�d°ti/A�'�F�. W�LL�, ��,�.�� ,�,. � � . 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Fcology Home�Water Resources�Notice of Intznl Home�BACK ' .. ..._..... . ........ ..._.._ ..__._ ._..._. ......... ....__. ......... _....... .._..... . ........ ._..__ ._..._. . . . ._... ......... ......... ......... https://fortress.wa.gov/ecy/wrx/wrx/wcl/query�ages/notice_view.asp?WELL_NOTC NR=... 4/9/2014 � � � ' ,� , � SEWAGE SYSTk�9�CEATIF'TCATION Property Owner �I�ON � Addres� � � Sewa�a Contractor��L,��j,�,_„�,sT• Date��/�P+�rcel# 1. Scale; 1 Square � 10� 2, Draw in physical etructure3 to be on lot. 3. 3how location of well or any body of water. 4, Show locatlon of septic system in relationahip to strueture. 5, Assume an elevation of 100� at one lot corner & indicate the other lot cortter elevations in relation to it. � \ � 6, Use Arrows to show direction of slope. 1\,J /a� I po' . 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